INSTRUCTIONS - Secretary of State of Washington

1 Corporations & Charities Division Physical/Overnight address : 801 Capitol Way S. Olympia, WA 98501-1226. Mailing address : PO Box 40234. Olympia, WA 98504-0234. Tel: INSTRUCTIONS - CERTIFICATE OF FORMATION OF A LIMITED LIABILITY COMPANY. RCW and General INSTRUCTIONS : Use dark ink only. Complete the entire form and enter all requested information in the fields provided. A. fillable .pdf version of this form is available for download, or you can file online at Mail: Send the completed form and payment to the address listed above.

2 Payment: Make checks or money orders payable to Secretary of State . Checks cannot be backdated more than 60 days from the date the check is received. Expedited Service: If expedited service is requested , include an additional $50 fee and check the box indicating expedited service on page 1. Fees: The filing fee for the Certificate of Formation of a Limited Liability Company is $ Initial Report: An initial report is due within 120 days of the effective date of this formation per RCW The report may be included with this formation at no additional fee.

3 If the Initial Report is not submitted with this formation, a $10 filing fee will apply. ALL FILING FEES ARE NON-REFUNDABLE. ALL DOCUMENTS ARE PUBLIC RECORD. (1) Unified Business Identifier (UBI): If the entity has previously filed with another State agency such as the Department of Revenue, the Department of Labor and Industries, or the Employment Security Department, the entity may already have a 9-digit UBI number that can be entered. Do not enter the UBI number of a Sole Proprietorship or General Partnership.

4 If the entity does not have a UBI. number, select No and continue with the filing. If No is selected, the entity will be issued a UBI number upon successful completion of the filing. (2) Entity Name: In accordance with the RCW , a Limited Liability Company name must contain the words Limited Liability Company, Limited Liability Co., or the abbreviation of or LLC. If the designation is omitted, it will default to LLC when processed. A Limited Liability Company name must be distinguishable upon the records of the Secretary of State from any other entity already registered with the Secretary of State 's Office.

5 If a name has been reserved and a Name Reservation Number has been provided, enter the Number and Name in the appropriate section. If a Name Reservation has not been provided, select no and enter a name to submit for review. (3) Period of Duration: Select a period of duration. Only one selection will be accepted. Perpetual duration means on-going until the entity is either administratively or voluntarily dissolved. A specified date or specified number of years, may be selected. If a specified date or years is selected the entity will be administratively dissolved as recorded in this section.

6 If no selection is provided, it will default to perpetual. (4) Effective Date: Select the date this filing is to be effective. If Date of Filing is selected, the effective date will be the date the submission is completed by our office. A future effective date may be specified which may not be more than 90 days after the date of filing. (5) Registered Agent: All entities must have a Registered Agent in Washington State per RCW Select only one type of agent. The Consent of the Registered Agent must be signed, regardless of the type of Registered Agent.

7 Print the name and title of the person signing and provide the date of signature. Certificate of Formation-LLC Washington Secretary of State Revised Option 1: Commercial Registered Agent is an entity or individual registered with the Office of the Secretary of State , whose nature of business it is to receive legal documents, notice, or demand required or permitted by law to be served on behalf of the entity. A Commercial Registered Agent has a verified address on record with the Office of the Secretary of State .

8 O Select Yes or No.. If Yes, provide the name of the Commercial Registered Agent. An address is not required. If No, continue to Option 2: Noncommercial Registered Agent directions below. Option 2: Noncommercial Registered Agent is an entity or individual who agrees to receive legal documents, notice, or demand required or permitted by law to be served on behalf of the entity. o Make one selection: Individual, Entity, or Office/Position, and fill out accordingly. Individual: Write the individual's first and last name.

9 Entity: Write the entity's full name. Office/Position: Write the office or position such as President, Secretary , or Member. o Provide the required physical street address of the Noncommercial Registered Agent. You may also provide the mailing address if needed. Addresses must be in Washington State . o Provide a contact phone number and email address (optional). This information will be used if there are any questions regarding the submission. (6) Principal Office: Enter the principal office address .

10 This is the place where the entity's records are kept. This address must be a physical address . A PO Box or PMB will not be accepted. The address does not need to be in Washington State . (7) Return address for this Filing: This section is optional. This address will be sent document(s) regarding this specific filing in addition to the document(s) being sent to the Registered Agent's street/mailing address . (8) Executor Information: The Executor is the person(s) forming the Limited Liability Company.